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Arthroscopic Medial Meniscus Root Repair With Soft Suture Anchor Without Posterior Portal Technique
Somsak Kuptniratsaikul1, Thun Itthipanichpong1, Vanasiri Kuptniratsaikul2
1Department of Orthopedics, Faculty of Medicine, Chulalongkorn University, Bangkok, Thailand.
Abstract:
Medial meniscal root injury is known to cause an increase in tibiofemoral contact pressure and results in early osteoarthritis. There have been many reports on meniscal root repairing techniques, which can be categorized into 2 groups. One is transosseous suture, and the other is anchor suture repair. Both techniques show improvement in not only clinical performance, but also radiographic finding. However, the meniscal root repair procedure must be performed by experienced physicians. Most techniques require a posteromedial portal, which takes time and may even complicate the procedure. The technique proposed in this study provides a simple procedure in which no posteromedial portal is required and a soft anchor suture, a commonly used suture in glenolabral repair, is used. The use of this suture, instead of the conventional anchor suture, is believed to lessen possible injury to the cartilage and results in easier revision surgery.
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